Active NPI
Michelle Kubat, LMSW
- Clinical Social Worker
- Mount Pleasant, SC
National Provider Identifier
1275695124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9097
- Practice address
- 1303 Appling Dr
Mount Pleasant, SC 29464-4773 - Phone
- (816) 550-9212
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6350 | KS | |
| Clinical Social Worker | 1041C0700X | 9097 | SC | Primary |
Addresses
Primary practice location
1303 Appling Dr
Mount Pleasant, SC 29464-4773
Mailing address
1303 Appling Dr
Mount Pleasant, SC 29464-4773
Phone (816) 550-9212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9097 | SC | MD | Mental Health Counselor |
| 6350 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1275695124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 APPLING DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294644773",
"telephone_number": "816-550-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 APPLING DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294644773",
"telephone_number": "816-550-9212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBAT",
"first_name": "MICHELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2021-07-12",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "6350",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "9097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.